Lesion Patterns on Early Diffusion-weighted Magnetic Resonance Imaging and Ischemic Stroke Subtypes

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dc.authoridKEHAYA, Sezgin/0000-0002-9608-9278
dc.authoridKEHAYA, Sezgin/0000-0002-9608-9278
dc.authoridKEHAYA, Sezgin/0000-0002-9608-9278
dc.authorwosidKEHAYA, Sezgin/GVU-6069-2022
dc.authorwosidKEHAYA, Sezgin/N-9995-2017
dc.authorwosidKEHAYA, Sezgin/P-6106-2019
dc.contributor.authorAyaz, Guven
dc.contributor.authorGuldiken, Baburhan
dc.contributor.authorKehaya, Sezgin
dc.contributor.authorAynaci, Ozer
dc.date.accessioned2024-06-12T11:07:07Z
dc.date.available2024-06-12T11:07:07Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: The correct and rapid classification of the ischemic stroke subtype enables the determination of the proper treatment and a better prognosis. In this study, we investigated the association of ischemic stroke subtypes with early diffusion-weighted magnetic resonance imaging (MRI) lesion patterns. Materials and Methods: Three hundred forty-three consecutive patients with acute ischemic stroke were retrospectively evaluated. The ischemic stroke subtype for each patient was determined according to Trial of Org 10172 in Acute Stroke Treatment Classification. The lesion patterns in diffusion-weighted MRI in the first 24 hours of stroke were classified as single lesions, diffuse scattered lesions limited to one vascular area, and multiple territory lesions. The relationship between the diffusion-weighted MRI lesion patterns and ischemic stroke subtypes was investigated using the chi-square test. Results: The diffusion-weighted MRI lesion patterns showed significant differences among the ischemic stroke subtypes. Multiple territory lesions were more frequent in the cardioembolic and other determined causes groups compared with the large artery atherosclerosis group. Diffuse scattered lesions limited to one vascular area were more frequent in the large artery atherosclerosis, the unknown cause and the other determined causes groups than the others (p<0.01). Single lesions with a diameter smaller than 1.5 cm favored small vessel disease. None of the diffusion-weighted MRI lesion patterns was highly specific for any stroke subtype. Conclusion: Early diffusion-weighted MRI lesion distributions vary significantly among the ischemic stroke subtypes. When evaluated with other clinical findings, these data can help in the early determination of the ischemic stroke etiology.en_US
dc.identifier.doi10.4274/tnd.2019.86846
dc.identifier.endpage206en_US
dc.identifier.issn1301-062X
dc.identifier.issn1309-2545
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85092899257en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage202en_US
dc.identifier.trdizinid461618en_US
dc.identifier.urihttps://doi.org/10.4274/tnd.2019.86846
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/461618
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21899
dc.identifier.volume26en_US
dc.identifier.wosWOS:000581107600003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherTurkish Neurological Socen_US
dc.relation.ispartofTurkish Journal Of Neurologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIschemic Strokeen_US
dc.subjectDiffusion-Weighted Magnetic Resonance Imagingen_US
dc.subjectAtherosclerosisen_US
dc.subjectCardioembolismen_US
dc.subjectLacunar Infarctionen_US
dc.subjectMechanismsen_US
dc.subjectDiagnosisen_US
dc.subjectInfarcten_US
dc.subjectDiseaseen_US
dc.titleLesion Patterns on Early Diffusion-weighted Magnetic Resonance Imaging and Ischemic Stroke Subtypesen_US
dc.typeArticleen_US

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